Skip to main content
SpringerLink
Log in

Internal Dynamics: Stresses and Strains

  • Chapter
Anatomy of Psychiatric Administration

Part of the book series: Topics in Social Psychiatry ((TSPS))

  • 49 Accesses

Abstract

In any human system, stresses can arise—among individuals, between the individual and the group, among groups, and between the organization and outside agencies and institutions. These stresses may be mild, moderate, or acute. They may lead to temporary dysfunctions in relation to the goals of the enterprise, or they may lead to major disruptions, even breakdowns. Administrators, in their natural role as social system clinicians, become sensitive to these stresses, striving to diminish them and to ameliorate their negative impact upon the functioning of the organization. The health and welfare of systems depends on early diagnosis, prompt and effective intervention, and efforts to prevent recurrences.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Galbraith JK: The Anatomy of Power. Boston, Houghton Mifflin, 1983

    Google Scholar 

  2. Orne MT: On the social psychology of the psychological experiment: With particular reference to demand characteristics and their implications. Amer Psychologist 17: 776–783, 1962

    Article  Google Scholar 

  3. Greenblatt M, York RH, Brown EL: From Custodial to Therapeutic Patient Care in Mental Hospitals: Explorations in Social Treatment. New York, Russell Sage Foundation 1955. See Chapter 5, Resocialization, pp 106–131; also Chapter 6, Patient Government, pp 132–146; also Chapter 7, Development of Therapeutic Potential of Personnel, pp 147–199; and Chapter 21, Social Treatment: Emerging Guideposts to Social Treatment, pp 416–423

    Google Scholar 

  4. Jones M: The Therapeutic Community. New York, Basic Books, 1953

    Google Scholar 

  5. Jones M: Beyond the Therapeutic Community: Social Learning and Social Psychiatry. New Haven, Yale University Press, 1968

    Google Scholar 

  6. Gilbert DC, Levinson DJ: “Custodialism” and “humanism” in mental hospital structure and in staff ideology, in Greenblatt M, Levinson DJ, Williams RH (eds): The Patient and the Mental Hospital: Contributions of Research in the Science of Social Behavior. Glencoe, Illinois, Free Press, 1957, pp 20–35

    Google Scholar 

  7. Gilbert DC: Ideologies Concerning Mental Illness: A Sociopsychological Study of Mental Hospital Personnel. Unpublished doctoral dissertation, Radcliffe College, 1954

    Google Scholar 

  8. Adorno TW, Frenkel-Brunswik E, Levinson DJ, et al: The Authoritarian Personality. New York, Harper, 1950

    Google Scholar 

  9. Bockoven JS: Moral Treatment in Community Mental Health. New York, Springer, 1972, p 127 et seq

    Google Scholar 

  10. Roberts L: Group meetings in a therapeutic community, in Denber HCB (ed): Research Conference on Therapeutic Community. Springfield, Illinois, Charles C Thomas, 1960, pp 129–146

    Google Scholar 

  11. Hyde RW, Solomon HC: Patient government: A new form of group therapy. Digest of Neurol and Psychiatry 18: 207–218, 1950

    Google Scholar 

  12. Manasse GO: Patient government: History, structure and ethics. Amer J Social Psychiatry 1: 9–16, 1981

    Google Scholar 

  13. Gruenberg EM: The social breakdown syndrome and its prevention, in Caplan G (ed): American Handbook of Psychiatry, Vol. 2. New York, Basic Books, 1974, p 697

    Google Scholar 

  14. Goldstein MJ: Psychosocial treatment of schizophrenia, in Schultz SC, Tamminga CA (eds): Schizophrenia: Scientific Progress. New York, Oxford University Press, 1989, pp 318–324

    Google Scholar 

  15. Miklowitz DJ, Goldstein MJ, Nuechterlein HK, Snyder KS, Mintz J: Family factors and the course of bipolar affective disorder. Archives of General Psychiatry 45: 225–231, 1988

    Article  PubMed  Google Scholar 

  16. Whitehead CC, Polsky RH, Crookshank C, et al: Objective and subjective evaluation of psychiatric ward design. Amer J Psychiatry 141: 639–644, 1984

    Google Scholar 

  17. Fairbanks LA, McGuire MT, Cole SR, et al: The ethological study of four psychiatric wards: Patient, staff and system behaviors. J Psychiatr Res 13: 193–209, 1977

    Article  PubMed  Google Scholar 

  18. McGuire MT, Fairbanks LA, Cole SR, et al: The ethological study of four psychiatric wards: Behavior changes associated with new staff and new patients. J Psychiatr Res 13: 211–244, 1977

    Article  PubMed  Google Scholar 

  19. American Nurses Association: Code for Nurses with Interpretive Statements. ANA Publication Code G-56 25M9/76. Kansas City, Missouri, American Nurses Association, 1976

    Google Scholar 

  20. Stein LI, Watts DT, Howell T: Sounding board—the doctor–nurse game revisited. NE J Med 322: 546–549, 1990

    Article  Google Scholar 

  21. Stein LI, Watts DT, Howell T: Sounding board—the doctor–nurse game revisited. NE J Med 322:546–549, 1990, p 547

    Google Scholar 

  22. Cannon IM: On the Social Frontier of Medicine: Pioneering in Medical Social Service. Cambridge, Harvard University Press, 1952

    Google Scholar 

  23. No byline]: The nursing shortage and psychiatry. Hosp and Community Psychiatry 40: 393396, 1989

    Google Scholar 

  24. No byline]: JCAHO study: NY hospitals with deficiencies exceed the national average. AHA News, 25:3, Issue No. 21, May 22, 1989

    Google Scholar 

  25. Lobier D: Irrational behavior in bureaucracy, in Kets de Vries MFR (ed): The Irrational Executive: Psychoanalytic Explorations in Management. New York, International Universities Press, 1984

    Google Scholar 

  26. Kernberg O: Regression in organizational leadership, in Kets de Vries MFR (ed): The Irrational Executive: Psychoanalytic Explorations in Management. New York, International Universities Press, 1984

    Google Scholar 

  27. Levinson H, Weinbaum L: The impact of organizational leadership, in Kets de Vries MFR (ed): The Irrational Executive: Psychoanalytic Explorations in Management. New York, International Universities Press, 1984

    Google Scholar 

  28. Levinson H: Management by guilt, in Kets de Vries MFR (ed): The Irrational Executive: Psychoanalytic Explorations in Management. New York, International Universities Press, 1984, pp 132–152

    Google Scholar 

  29. Levinson H: Anger, guilt, and executive action. Think 10–14, March-April 1964

    Google Scholar 

  30. Henry WE: The business executive: The psychodynamics of a social role, in Kets de Vries MFR (ed): The Irrational Executive: Psychoanalytic Explorations in Management. New York, International Universities Press, 1984

    Google Scholar 

  31. Morimoto FR, Baker TS, Greenblatt M: Similarity of socializing interests as a factor in selection and rejection of psychiatric patients. J Nery and Ment Dis 120: 56–61, 1954

    Article  Google Scholar 

  32. Kegeles SS, Hyde RW, Greenblatt M: Sociometric network on an acute psychiatric ward. Group Psychotherapy V: 91–110, 1952

    Google Scholar 

  33. Kellam SG, Chassan JB: Social context and symptom fluctuation. Psychiatry 25: 370–381, 1962

    PubMed  Google Scholar 

  34. Pierce CM: Personal communication

    Google Scholar 

  35. Stanton AH, Schwartz MS: The Mental Hospital. New York, Basic Books, 1954

    Google Scholar 

  36. Brown EL: Personal communication

    Google Scholar 

  37. Markowich MM: How to reduce absenteeism: A comparative analysis. Hosp and Health Services Admin 34:213–227, Summer 1989, p 214

    Google Scholar 

  38. Markowich MM: How to reduce absenteeism: A comparative analysis. Hosp and Health Services Admin 34:213–227, Summer 1989

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Olive View Medical Center — Los Angeles County, Sylmar, California, USA

    Milton Greenblatt M.D.

  2. University of California, Los Angeles, Los Angeles, California, USA

    Milton Greenblatt M.D.

Authors
  1. Milton Greenblatt M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 1992 Springer Science+Business Media New York

About this chapter

Cite this chapter

Greenblatt, M. (1992). Internal Dynamics: Stresses and Strains. In: Anatomy of Psychiatric Administration. Topics in Social Psychiatry. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-9179-2_5

Download citation

  • DOI: https://doi.org/10.1007/978-1-4757-9179-2_5

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4757-9181-5

  • Online ISBN: 978-1-4757-9179-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation